| Gretta Goines Alexander, FNP-BC | |
|
175 Country Club Dr, Stockbridge, GA 30281-9054 | |
| (800) 410-4663 | |
| Not Available |
| Full Name | Gretta Goines Alexander |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 175 Country Club Dr, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902622202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WH1000X | Registered Nurse - Hospice | RN176479 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN176479 (Georgia) | Primary |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20230105001168 |
| Mailing Address | Practice Location Address |
|---|---|
| Gretta Goines Alexander, FNP-BC 1640 Fuma Leaf Way, Mcdonough, GA 30253-1948 Ph: (229) 520-1347 | Gretta Goines Alexander, FNP-BC 175 Country Club Dr, Stockbridge, GA 30281-9054 Ph: (800) 410-4663 |
Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943 | |
Ms. Rita Raynel Givens, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 830 Eagles Landing Pkwy Ste 204, Stockbridge, GA 30281 Phone: 770-962-3642 Fax: 770-962-3643 | |
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947 | |
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018 | |
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363 | |
Tricia Jarrell Morris, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 547 Winter View Way, Stockbridge, GA 30281 Phone: 678-272-0086 Fax: 678-489-6860 | |
Shanea R Mcdaniel, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 552 Creek Valley Ct, Stockbridge, GA 30281 Phone: 803-617-9953 |